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National Profile (national + profile)

Distribution by Scientific Domains

Medical Sciences	75%

Selected Abstracts

Public Health Emergency Preparedness at the Local Level: Results of a National Survey

HEALTH SERVICES RESEARCH, Issue 5p2 2009
Elena Savoia
Objective. To study the relationship between elements of public health infrastructure and local public health emergency preparedness (PHEP). Data Sources/Study Setting. National Association of County and City Health Officials 2005 National Profile of Local Health Departments (LHDs). Study Design. Cross-sectional. Principal Findings. LHDs serving larger populations are more likely to have staff, capacities, and activities in place for an emergency. Adjusting for population size, the presence of a local board of health and the LHDs' experience in organizing PHEP coalitions were associated with better outcomes. Conclusions. The results of this study suggest that more research should be conducted to investigate the benefit of merging small health departments into coalitions to overcome the inverse relationship between preparedness and population size of the jurisdiction served by the LHD. [source]

Working parents with young children: cross-national comparisons of policies and programmes in three countries

INTERNATIONAL JOURNAL OF SOCIAL WELFARE, Issue 4 2003
Susan F. AllenArticle first published online: 10 OCT 200
Multiple global trends are putting pressure on governments to develop policies and programmes that meet the needs of families with children aged 0,3. This cross-national analysis focuses on policies and programmes of parental leave and childcare in the United States, Sweden and Japan. Cross-national studies of early childhood education and care are reviewed. National profiles are provided of demographic, economic, political and socio-cultural characteristics and of parental leave and childcare policies and programmes. Policies and programmes are compared in relation to equity of coverage and support of basic parental childrearing and child-protection responsibilities. Issues raised highlight the need for unified programmes and policies, and continuing global dialogue regarding the needs of this population. [source]

Nonfatal work-related motor vehicle injuries treated in emergency departments in the United States, 1998,2002

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 9 2009
Guang X. Chen MD
Abstract Background Current data on nonfatal work-related motor vehicle injuries are limited and fragmented, often excluding government workers, self-employed workers, and workers on small farms. This study seeks to bridge the present data gap by providing a national profile of nonfatal work-related motor vehicle injuries across all industries and occupations. Methods Study subjects were people who suffered nonfatal work-related motor vehicle injuries and were treated in a hospital emergency department in the United States. Subjects were identified from a stratified probability sample of emergency departments. National estimates and rates were computed. Results From 1998 to 2002, the average annual rate of nonfatal work-related motor vehicle injuries was 7 injuries per 10,000 full-time equivalents. The rate was three times higher in men than in women. The rates were higher in workers 15,19 years of age and in workers 70 years or older. Justice, public order, and safety workers had the largest number of injuries, and taxicab service employees had the highest injury rate of all industries. Truck drivers had the largest number of injuries, and police and detectives, public service employees had the highest injury rate of all occupations. Conclusion Future efforts need to develop and enhance the use of surveillance information at the federal and state level for work-related nonfatal motor vehicle injuries. Prevention efforts need to address occupational motor vehicle safety for both commercial truck/bus drivers and workers who are not commercial drivers but who drive light motor vehicles on the job. Am. J. Ind. Med. 52:698,706, 2009. © 2009 Wiley-Liss, Inc. [source]

The State of Diabetes Care Provided to Medicare Beneficiaries Living in Rural America

THE JOURNAL OF RURAL HEALTH, Issue 4 2006
Joseph P. Weingarten Jr PhD
ABSTRACT:,Context: Diabetes poses a growing health burden in the United States, but much of the research to date has been at the state and local level. Purpose: To present a national profile of diabetes care provided to Medicare beneficiaries living in urban, semirural, and rural communities. Methods: Medicare beneficiaries with diabetes aged 18-75 were identified from Part A and Part B claims data from 1999 to 2001. A composite of 3 diabetes care indicators was assessed (annual hemoglobin A1c test, biennial lipid profile, and biennial eye examination). Findings: Over 77% had a hemoglobin A1c test, 74% a lipid profile, and 69% an eye examination. Patterns of care were considerably different across the urban-rural continuum at the state, Census division, and regional levels. States in the northern and eastern portions of the country had higher indicator rates for rural than for urban residents. States in the South had much lower rates for rural residents than their urban counterparts. Despite these within-state differences, across-state comparisons found that several states tended to have low indicator rates in every level of the urban-rural continuum. A common feature of these states was the relatively high concentration of nonwhite beneficiaries. For example, southern states had much higher concentrations of nonwhite beneficiaries relative to other areas in the country and demonstrated low rates in every level of the urban-rural continuum. Conclusions: Urban-rural quality of care differences may be a function not just of geography but also of the presence of a large nonwhite population. [source]